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SCIENTIFIC EVIDENCE

The latest publications about the Cube Navigation System

CASE STUDY

Pelvic Bone Biopsy using the Cube Navigation System

First case study performed with the Access Cube: a pelvic bone biopsy utilizing the navigation and needle holding capacity of the CNS. Johanniter-Krankenhaus and Waldkrankenhaus in Bonn, Germany.

ORIGINAL RESEARCH

Frontiers in Surgery, 2023

Diepers M., Gruber P.,  Remonda L., et. al.

Case series to report experience with the patient-mounted Cube Navigation System to guide needle placement for complex access routes in lumbar pain therapy.

Double-oblique punctures with the Cube Navigation System were accurate and procedure was time efficient. In the authors’ view, the Cube Navigation System has the potential to improve needle guidance for complex access routes, especially considering the ease of use of the device.

CASE STUDY

Transthoracic Needle Aspiration Biopsy using the Cube Navigation System

First clinical case of lung biopsy performed with the Puncture Cube, at the Istituto Nazionale Tumori in Naples, Italy.

ORIGINAL RESEARCH

Medicina, 2022

Grigoriadis, S.; Filippiadis, D.; Stamatopoulou, V. et al.

Five clinical cases of splanchnic nerve radiofrequency neurolysis were performed using the Cube Navigation System.  Technical success, parameters of the neurolysis session, and complications were evaluated

Technical success was achieved in all cases. The Puncture Cube was found to be simple to use, while allowing for highly accurate needle placement and optimal calculation of double oblique access routes.

ORIGINAL RESEARCH

CIRSE, 2022

Krammer, L., Kadrijaj, V., Hostettler, R., et al.

Poster presented at the Cardiovascular and Interventional Radiological Society of Europe congress. First evaluation of accuracy and efficiency of the Access Cube as compared to the standard of care Free Hand Method.  Use of the Cube Navigation System resulted in statistically significantly improved accuracy (3.8 mm ± 1.3 mm vs 6.7mm ± 4.5 mm with the free hand method) and overall lower intervention time (263.1 s ±84.4 s versus FHM 411.2 s 141.0 s). The number of CT scans was reduced to 1.4 versus FHM 2.8.

ORIGINAL RESEARCH

Journal of Clinical Medicine, 2022

Scharll, Y., Mitteregger, A., Lamier, G. et al.

Assessment of the Puncture Cube as compared to a robotic navigation device.  In-vitro accuracy and time required were compared in this phantom study. 


The Puncture Cube's performance was competitive with other navigational systems on the market. Beyond the accuracy assessment, the following key advantages are highlighted:

  • 30% faster procedure time, not including set up or breakdown time

  • flexibility to use the system across multiple CT scanners at the same time

  • no floor space taken in the CT room

  • much faster return on ROI while providing accuracy gains sufficient for all but the long tail of complex procedures

ORIGINAL RESEARCH

Neuro-

radiology,

2019

Mokry, A., Willmitzer, F., Hostettler, R. et al.

Assessment of the Puncture Cube as compared to the standard of care Free Hand Method.  Accuracy and time requirements were compared in this ex-vivo, phantom study. 


Compared to a conventional free-hand procedure, the use of the Cube Navigation System with a Puncture Cube resulted in a statistically significantly improved accuracy (3.4 mm ± 2.3 mm vs 4.9 mm ± 3.2 mm with the free hand method) and overall lower intervention time (168 s ± 28.5 s versus FHM 200 s ± 44.8 s). Number of CT scans was reduced to 2.3 versus FHM 2.8.

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